nominate a provider

Your dental plan is powered by the Ameritas Dental Network. The group division of Ameritas Life Insurance Corp. continually recruits new dentists and specialists to join the Ameritas Dental Network. If your dental plan has access to the dental network and your dentist is not an active network provider, you may request that an application packet be sent to their office for consideration. Please complete the Provider Nomination Form in its entirety to ensure the appropriate information is sent to the office.

This information is provided by Ameritas®, which is a marketing name for subsidiaries of Ameritas Mutual Holding Company, including, but not limited to: Ameritas Life Insurance Corp., 5900 O Street, Lincoln, Nebraska 68510; Ameritas Life Insurance Corp. of New York, (licensed in New York) 1350 Broadway, Suite 2201, New York, New York 10018; and Ameritas Investment Corp., member FINRA/SIPC. Each company is solely responsible for its own financial condition and contractual obligations.